| NPI | 1699900514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHARINA VAN HOUTEN-WILLIAMS President 818-263-4073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA DC30380) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2015-10-29 |